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Master Thesis

Contrôle de l'hypertension artérielle en population guadeloupéenne défavorisée : quelle évolution depuis 10 ans ?

Abstract : Background : Health inequalities are strong in France. The French West Indies are among the most deprived French territories. Early mortality related to cardiovascular diseases is particularly high. In 2003, a study highlighted the poor control of hypertension in a poor Guadeloupean population. Objective : To assess the 2014 characteristics of hypertension in a poor Guadeloupean population with easy access to care. To assess changes in hypertension characteristics in the last ten years. Methods : Between July and December 2014 was conducted a cross-sectional study, based on the same methodology as that used in 2003. Included were all individuals coming to the Guadeloupean health centers for a free check-up and aged 18-74 years. We extracted the 1461 records of individuals receiving welfare. Hypertension was defined as current antihypertensive treatment and/or mean of three measurements of blood pressure ≥ 140/90 mmHg (one visit). For comparison, data from 2003 and 2014 studies were age-adjusted. Results : In 2014, the prevalence of hypertension was 38.9% in men and 30.8% in women. The proportion of hypertensive individuals aware of their disease was 44.3% in men and 73.8% in women. The proportion of aware individuals under current treatment was 53.8% in men and 78.8% in women. The proportion of treated individuals with controlled hypertension was 41.7% in men and 47.5% in women. Hypertension risk was doubled among individuals with obesity or low education level. Awareness, treatment and control were associated with universal health coverage. Compared to 2003, hypertension prevalence remained stable. Hypertension awareness increased by 40%. Hypertension treatment decreased by 35% among men. Hypertension control rose by 141% among men, and by 23% among women. Conclusions : In this poor adult Guadeloupean population, hypertension control remained above the national goals. New strategies for cardiovascular risk management must be developed in France, particularly in men and in the poorest communities.
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Master Thesis
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Nicolas Halbert. Contrôle de l'hypertension artérielle en population guadeloupéenne défavorisée : quelle évolution depuis 10 ans ?. Médecine humaine et pathologie. 2015. ⟨dumas-01187484⟩

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